Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.81 / $6,541.00 / $13,413.92	Facility		$483.81	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $161.16 / $929.23	Professional		$89.87	$161.16	$929.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $96.22 / $536.37	Professional		$96.22	$96.22	$536.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.91 / $211.03 / $1,328.80	Facility		$134.91	$211.03	$1,328.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.48 / $428.41 / $759.75	Professional		$268.48	$428.41	$759.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $608.75 / $892.50	Professional		$395.00	$608.75	$892.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.23 / $267.50 / $1,328.80	Facility		$165.23	$267.50	$1,328.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $546.00 / $882.45	Professional		$150.10	$546.00	$882.45
United Facility/Professional Professional Modifier Low / Median / High Price $202.16 / $429.10 / $1,299.38	Professional		$202.16	$429.10	$1,299.38